Provider Demographics
NPI:1578348058
Name:SIMMONS FAMILY TRANSPORTATION LLC
Entity Type:Organization
Organization Name:SIMMONS FAMILY TRANSPORTATION LLC
Other - Org Name:SIMMONS FAMILY TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-404-8333
Mailing Address - Street 1:PO BOX 133189
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75313-3189
Mailing Address - Country:US
Mailing Address - Phone:313-404-8333
Mailing Address - Fax:
Practice Address - Street 1:2013 AMARILLO PL
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-3110
Practice Address - Country:US
Practice Address - Phone:313-404-8333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)